Individual
JULIA BETH NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
2890 OCEAN BLVD SE, COOS BAY, OR 97420-3530
(541) 267-5433
Mailing address
2247 SISSON DR, LA CROSSE, WI 54601-6860
(320) 420-9244
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
521133
OR
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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